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General NPI Number Information
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NPI Number | 1922425560
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Entity Type | Individual
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Provider Name | CAROLINE R KISER D.P.M.
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Gender | Female
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Dates
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Enumeration Date | 03/20/2014
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 1747 BAPTIST CLAY DR STE 200
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City | FLEMING ISLAND
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State | FL
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Zip | 32003-8505
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Country | US
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Telephone | 904-202-6683
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Fax | 904-376-3062
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Provider Business Mailing Address
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Address Line | PO BOX 746647
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City | ATLANTA
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State | GA
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Zip | 30374-6647
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Country | US
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Telephone | 904-202-2092
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Fax | 904-376-4275
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO4695
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 865
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO4695
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License Number State | FL
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